1.Pathology of Chronic Pancreatitis.
Korean Journal of Hepato-Biliary-Pancreatic Surgery 2003;7(2):169-176
No abstract available.
Pancreatitis, Chronic*
;
Pathology*
2.Non-alcoholic duct-destructive chronic pancreatitis: recognition before definitive treatment.
Jun Pyo CHUNG ; Sang Kyu NA ; Young Nyun PARK ; Jeong Sik YU ; Dong Sup YOON ; Se Joon LEE ; Si Young SONG ; Kwan Sik LEE ; Jae Bock CHUNG ; Sang In LEE ; Jin Kyung KANG
Yonsei Medical Journal 1999;40(5):518-522
Non-alcoholic duct-destructive chronic pancreatitis is a new entity that differs morphologically and pathogenetically from alcoholic chronic pancreatitis. Some clinical and imaging features of this entity resemble those of pancreatic cancer, and hence most of the reported cases underwent pancreatic resections including an invasive pancreaticoduodenectomy. Recognition of this new entity before a definitive treatment is therefore important to avoid an unnecessary pancreatic resection. Recently, we experienced a case of non-alcoholic duct-destructive chronic pancreatitis in an 80-year-old man presenting with obstructive jaundice and whose radiologic features were characteristic as originally described. Recognition of this new entity before definitive treatment enabled us to manage this patient optimally. In addition, the relation between non-alcoholic duct-destructive chronic pancreatitis and chronic pancreatitis with diffuse irregular narrowing of the main pancreatic duct is discussed.
Aged
;
Aged, 80 and over
;
Case Report
;
Chronic Disease
;
Human
;
Male
;
Pancreatitis/pathology
;
Pancreatitis/diagnosis*
3.A Case of Idiopathic Fibrosing Pancreatitis.
Hyeon Joo CHOI ; Young Mi HONG ; Seung Joo LEE ; Keun LEE ; Geum Ja CHOI ; Eun Chul CHUNG ; Woon Sup HAN
Journal of Korean Medical Science 1990;5(1):53-58
We experienced a case of chronic fibrosing pancreatitis in an 18/12-year-old girl, which was idiopathic because there were no familial back ground, no cystic fibrosis of pancrease, no ductal anomalies and obstruction. The patient presented intermittent colicky abdominal pain and progressive obstructive jaundice, but T-tube drainage and removal of the lymph nodes around the common bile duct relieved her symptoms and disease process. This seems to be the first case reported in a Korean child. Idiopathic fibrosing pancreatitis should be considered in the differential diagnosis of abdominal pain with obstructive jaundice in children.
Abdominal Pain/complications
;
Female
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Fibrosis
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Humans
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Infant
;
Jaundice, Chronic Idiopathic/complications
;
Pancreatitis/complications/*pathology
4.Clinical Characteristics, Recurrence Features, and Treatment Outcomes of Autoimmune Pancreatitis.
The Korean Journal of Gastroenterology 2008;52(4):265-267
No abstract available.
Autoimmune Diseases/*diagnosis/therapy
;
Humans
;
Immunoglobulin G/blood
;
Pancreatitis, Chronic/*diagnosis/pathology/therapy
5.Clinical Characteristics, Recurrence Features, and Treatment Outcomes of Autoimmune Pancreatitis.
The Korean Journal of Gastroenterology 2008;52(4):265-267
No abstract available.
Autoimmune Diseases/*diagnosis/therapy
;
Humans
;
Immunoglobulin G/blood
;
Pancreatitis, Chronic/*diagnosis/pathology/therapy
6.Clinical Characteristics of 17 Cases of Autoimmune Chronic Pancreatitis.
Kyu Pyo KIM ; Myung Hwan KIM ; Yun Jung LEE ; Moon Hee SONG ; Do Hyun PARK ; Sang Soo LEE ; Dong Wan SEO ; Sung Koo LEE ; Young Il MIN ; Dong Eun SONG ; Eun Sil YU
The Korean Journal of Gastroenterology 2004;43(2):112-119
BACKGROUND/AIMS: Autoimmune pancreatitis is a distinctive type of chronic pancreatitis with reversibility. We analyzed the largest number of patients with autoimmune pancreatitis among the studies carried out at a single institution in Korea. METHODS: We retrospectively analyzed the clinical, radiologic, laboratory and histologic features in 17 patients who were diagnosed as autoimmune pancreatitis. RESULTS: The patients were predominately elderly men who presented with jaundice or nonspecific gastrointestinal symptoms. In most of the patients, serum pancreatic enzymes were normal or mildly elevated with an accompanying cholestatic biochemical profile. Elevated IgG levels and detection of autoantibodies were observed in 47% (8/17) and 35% (6/17), respectively. Thirteen patients showed histologic findings of lymphoplasmacytic infiltration and fibrosis, and one patient showed predominant infiltration of eosinophils. Fifteen patients revealed radiologic images of diffuse swelling of pancreas and the sclerosing pattern on direct pancreatogram. All of the features improved in response to oral steroid therapy. Two cases showed focal narrowing with upstream duct dilatation and thus, they were diagnosed as focal type. Diabetes mellitus concurred in 13 cases and primary sclerosing cholangitis and Sjogren's syndrome were present in 1 case, respectively. CONCLUSIONS: The recognition of autoimmune pancreatitis allows patients to avoid unnecessary surgery and recover with the administration of oral steroid.
Aged
;
Autoimmune Diseases/*diagnosis/pathology
;
Chronic Disease
;
English Abstract
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Humans
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Male
;
Middle Aged
;
Pancreas/pathology
;
Pancreatitis/*diagnosis/immunology/pathology
7.Performance Characteristics of a New Flexible Nitinol 19-Gauge Endoscopic Ultrasound-Guided Fine Needle Aspiration Needle.
Disaya CHAVALITDHAMRONG ; Peter V DRAGANOV
Gut and Liver 2013;7(6):756-756
No abstract available.
Endoscopic Ultrasound-Guided Fine Needle Aspiration/*instrumentation
;
Female
;
Humans
;
Male
;
*Needles
;
Pancreas/*pathology
;
Pancreatic Neoplasms/*pathology
;
Pancreatitis, Chronic/*pathology
8.Diagnosis and surgical interventions for the chronic obstructive pancreatitis due to the inflammatory lesions at the opening of the pancreatic duct.
Chun-lu TAN ; Bao-wang LIU ; Guang-ming XIANG ; Bing-qing DU ; Zhen-jiang ZHENG ; Gang MAI ; Xu-bao LIU
Chinese Journal of Surgery 2011;49(6):517-521
OBJECTIVETo explore the diagnostic methods and reasonable surgical interventions for the chronic obstructive pancreatitis due to the inflammatory lesions at the opening of the pancreatic duct.
METHODSFrom January 2002 to November 2010 the data of 28 patients who were diagnosed as the chronic obstructive pancreatitis (COP) was retrospectively reviewed. Out of the 28 patients, it was analyzed that the clinical manifestations, diagnostic methods, surgical finding and surgical interventions of the 13 patients who were diagnosed as COP due to the inflammatory lesions at the opening of the pancreatic duct in the exploratory operation accompanying recurrent acute abdominal pain with increased serum amylase and lipase, dilation of entire pancreatic duct on imaging before surgery. The conditions included pain recrudescence, quality of life, pancreatic changes on imaging and the serum amylase and lipase after surgery were recorded.
RESULTSAll the 13 patients had clinical manifestations of COP. However, 12 patients had different manifestations on imaging from those chronic pancreatitis imaging due to tumors at the duodenal papilla, ampulla or inner pancreatic duct. Via exploratory operation and magnetic resonance cholangiopancreatography (MRCP), there were short pancreaticobiliary common channel or pancreas divisum existing in most patients. There was no acute abdominal pain with the increased serum amylase and lipase in the 12 patients who receiving the transduodenal mastoid, ampulla and pancreatic ductal opening incision and plasty, the paramastoideus incision and plasty in the visit.
CONCLUSIONSThe imaging character of COP due to the inflammatory lesions at the opening of the pancreatic duct is the dilation of the pancreatic duct without the chronic obstruction in the bile duct. The patients with short pancreaticobiliary common channel or pancreas divisum easily suffer COP due to the stenosis of the pancreatic ductal opening caused by the duodenal mastoiditis or paramastoiditis. The local plasty surgery to correct the stenosis at the pancreatic ductal opening and improve the drainage of the pancreatic duct is an easy and effective management.
Adult ; Aged ; Female ; Humans ; Inflammation ; Male ; Middle Aged ; Pancreatic Ducts ; pathology ; Pancreatitis, Chronic ; diagnosis ; pathology ; surgery ; Retrospective Studies ; Young Adult
9.Inflamed Bipedal Nodules with a Distant Occult Cause.
Harumi OCHI ; Evelyn Yx TAY ; Joyce Ss LEE ; Hong Liang TEY
Annals of the Academy of Medicine, Singapore 2016;45(6):267-269
Acute Disease
;
Aged
;
Amylases
;
blood
;
Humans
;
Lipase
;
blood
;
Magnetic Resonance Imaging
;
Male
;
Pancreatitis
;
complications
;
diagnosis
;
diagnostic imaging
;
Pancreatitis, Chronic
;
complications
;
diagnosis
;
Panniculitis
;
diagnosis
;
diagnostic imaging
;
etiology
;
pathology
10.Computed tomographic findings of the pancreatitis
Woo Suk CHOI ; Kyung Sik CHO ; Young Tae KO ; Ho Kyung KIM ; Soon Yong KIM
Journal of the Korean Radiological Society 1982;18(1):125-131
Computed body tomography has become useful in the diagnosis of pancreatic disease. It was found to be are liable, often specific, and noninvasive method for detecting pancreatitis and extra-pancreatic extension of the pathology. Of eight hundred and seventy-two cases studied for abdominal pathology with EMI-CT 5005 whole body scanner form Oct. 1977 to August 1980, 21 cases were confirmed to be pancreatitis clinically or operatively. The authors reviewed the CT findings of the above cases and the results were as follows; 1. Among twenty-one cases, the acute pancreatitis was 12 cases and the chronic pancreatitis was 9 cases. The sex ratio as 17 males to females. 2. In acute pancreatitis, diffuse enlargement of pancreas (11/12), focal enlargement (1/12), loss of peripancreatic fat plane (9/12), thickening of anterior of pararenal fascia (6/12), and smooth margin ofpancreas (5/12) were observed. 3. In chronic pancreatitis, parenchymal atrophy (7/9), normal size (2/9), loss of peripancreatic fat plane (3/9), thickening of anterior pararenal fascia (1/9), calcification (1/9), smooth margin (2/9), and serrated margin (6/9) were observed. 4. The complications were associated with 7 cases of acute pancreatitis and 1 case of chronic pancreatitis; pseudocyst (6), abscess (2), and fat necrosis (3), The sites of the pseudocyst were lesser sac (2), anterior pararenal space (2), posterior pararenal space (1), subhepatic region (1), greater omentum (1), and intrapancreatic region (2). All of them were associated with acute pancreatitis except one in chronic pancreatitis.
Abscess
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Atrophy
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Diagnosis
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Fascia
;
Fat Necrosis
;
Female
;
Humans
;
Male
;
Methods
;
Omentum
;
Pancreas
;
Pancreatic Diseases
;
Pancreatitis
;
Pancreatitis, Chronic
;
Pathology
;
Peritoneal Cavity
;
Sex Ratio